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https://www.readbyqxmd.com/read/29144068/going-public-early-disclosure-of-food-risks-for-the-benefit-of-public-health
#1
Benjamin Chapman, Maria Sol Erdozaim, Douglas Powell
Often during an outbreak of foodborne illness, there are health officials who have data indicating that there is a risk prior to notifying the public. During the lag period between the first public health signal and some release of public information, there are decision makers who are weighing evidence with the impacts of going public. Multiple agencies and analysts have lamented that there is not a common playbook or decision tree for how public health agencies determine what information to release and when...
March 2017: Journal of Environmental Health
https://www.readbyqxmd.com/read/29128923/fluid-overload-independent-of-acute-kidney-injury-predicts-poor-outcomes-in-neonates-following-congenital-heart-surgery
#2
Kenneth E Mah, Shiying Hao, Scott M Sutherland, David M Kwiatkowski, David M Axelrod, Christopher S Almond, Catherine D Krawczeski, Andrew Y Shin
BACKGROUND: Fluid overload (FO) is common after neonatal congenital heart surgery and may contribute to mortality and morbidity. It is unclear if the effects of FO are independent of acute kidney injury (AKI). METHODS: This was a retrospective cohort study which examined neonates (age < 30 days) who underwent cardiopulmonary bypass in a university-affiliated children's hospital between 20 October 2010 and 31 December 2012. Demographic information, risk adjustment for congenital heart surgery score, surgery type, cardiopulmonary bypass time, cross-clamp time, and vasoactive inotrope score were recorded...
November 11, 2017: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
https://www.readbyqxmd.com/read/29118899/alterations-in-tendon-microenvironment-in-response-to-mechanical-load-potential-molecular-targets-for-treatment-strategies
#3
REVIEW
Mohamed B Fouda, Finosh G Thankam, Matthew F Dilisio, Devendra K Agrawal
Rotator cuff (RC) tendons could beinflicted in many ways with an eventual outcome of pain, weakness and disability, which represent a large burden on health care cost. However, optimal healing, either conservatively or with surgical intervention, remains an issue that needs further investigation. Disorders of the RC tendons may result from external factors like trauma, or internal factors through physiologic and metabolic derangement. Most RC tendon disorders may be asymptomatic and may result from an over-activity of the inflicted shoulder and its tendons...
2017: American Journal of Translational Research
https://www.readbyqxmd.com/read/29093221/experience-dependent-mushroom-body-plasticity-in-butterflies-consequences-of-search-complexity-and-host-range
#4
Laura J A van Dijk, Niklas Janz, Alexander Schäpers, Gabriella Gamberale-Stille, Mikael A Carlsson
An ovipositing insect experiences many sensory challenges during her search for a suitable host plant. These sensory challenges become exceedingly pronounced when host range increases, as larger varieties of sensory inputs have to be perceived and processed in the brain. Neural capacities can be exceeded upon information overload, inflicting costs on oviposition accuracy. One presumed generalist strategy to diminish information overload is the acquisition of a focused search during its lifetime based on experiences within the current environment, a strategy opposed to a more genetically determined focus expected to be seen in relative specialists...
November 15, 2017: Proceedings. Biological Sciences
https://www.readbyqxmd.com/read/29076870/transcatheter-device-closure-of-atrial-septal-defects-more-to-think-about-than-just-closing-the-hole
#5
Michael L O'Byrne, Andrew C Glatz, Matthew J Gillespie
PURPOSE OF REVIEW: To review current controversies in the transcatheter device closure of ostium secundum atrial septal defects (ASD). RECENT FINDINGS: Transcatheter device closure of ASD (TC-ASD) has well established efficacy and safety. For most individual patients with suitable anatomy, TC-ASD is the preferred method for treating ASD. The availability of large multicenter data sets has made it possible to study practice patterns at a range of hospitals across the United States...
October 25, 2017: Current Opinion in Cardiology
https://www.readbyqxmd.com/read/29076284/right-ventricular-speckle-tracking-assessment-for-differentiation-of-pressure-versus-volume-overloaded-right-ventricle
#6
Anna Werther Evaldsson, Annika Ingvarsson, Johan Waktare, Gustav J Smith, Ulf Thilén, Martin Stagmo, Anders Roijer, Goran Rådegran, Carl Meurling
BACKGROUND: Right ventricular (RV) dysfunction may be caused by either pressure or volume overload. RV function is conventionally assessed with echocardiography using tricuspid annular plane systolic excursion (TAPSE), RV fractional area change (RVFAC), tricuspid lateral annular systolic velocity (S') and RV index of myocardial performance (RIMP). The purpose of this study was to evaluate whether RV global longitudinal strain (RVGLS) and RV-free wall strain (RV-free) could add additional information to differentiate these two causes of RV overload...
October 26, 2017: Clinical Physiology and Functional Imaging
https://www.readbyqxmd.com/read/29069198/death-surveillance-as-an-indicator-of-the-quality-of-health-care-for-women-and-children
#7
Cristiane Magalhães de Melo, Talita Iasmim Soares Aquino, Marcela Quaresma Soares, Paula Dias Bevilacqua
The study aimed to evaluate the implementation of a regional death surveillance network, reflecting on challenges and potentialities of performance as observatory of violence against women. The research involved nine municipalities of a health region set at the Zona da Mata, Minas Gerais, Brazil. We followed the meetings of the regional death surveillance committee and conducted semi-structured interviews with professional members of the committee and municipal health managers. Furthermore, we analyzed information concerning investigations conducted and, in one municipality, we analyzed the notifications of deaths and cases of violence against women...
October 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29067929/comparison-of-stress-and-burnout-among-anesthesia-and-surgical-residents-in-a-tertiary-care-teaching-hospital-in-north-india
#8
K Gandhi, N Sahni, S K Padhy, P J Mathew
OBJECTIVE: The residents undergoing training at hospitals in our country face challenges in terms of infrastructure and high workload with undefined working hours. The aim of the study was to compare the stress and burnout levels in trainee doctors doing residency in surgical fields and anesthesia at a tertiary care academic center in North India. MATERIALS AND METHODS: A comparative, observational study was conducted in a tertiary care teaching hospital in North India...
October 23, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29035956/information-overload-in-consumers-of-health-related-information-a-scoping-review-protocol
#9
Kenneth Lee, Erin Roehrer, Elizabeth Cummings
The objective of this scoping review is to examine and map the breadth of evidence on information overload in lay adult and adolescent consumers of health-related information.
October 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29020627/a-specific-chrebp-and-ppar%C3%AE-cross-talk-is-required-for-the-glucose-mediated-fgf21-response
#10
Alison Iroz, Alexandra Montagner, Fadila Benhamed, Françoise Levavasseur, Arnaud Polizzi, Elodie Anthony, Marion Régnier, Edwin Fouché, Céline Lukowicz, Michèle Cauzac, Emilie Tournier, Marcio Do-Cruzeiro, Martine Daujat-Chavanieu, Sabine Gerbal-Chalouin, Véronique Fauveau, Solenne Marmier, Anne-Françoise Burnol, Sandra Guilmeau, Yannick Lippi, Jean Girard, Walter Wahli, Renaud Dentin, Hervé Guillou, Catherine Postic
While the physiological benefits of the fibroblast growth factor 21 (FGF21) hepatokine are documented in response to fasting, little information is available on Fgf21 regulation in a glucose-overload context. We report that peroxisome-proliferator-activated receptor α (PPARα), a nuclear receptor of the fasting response, is required with the carbohydrate-sensitive transcription factor carbohydrate-responsive element-binding protein (ChREBP) to balance FGF21 glucose response. Microarray analysis indicated that only a few hepatic genes respond to fasting and glucose similarly to Fgf21...
October 10, 2017: Cell Reports
https://www.readbyqxmd.com/read/29016693/driving-simulator-scenarios-and-measures-to-faithfully-evaluate-risky-driving-behavior-a-comparative-study-of-different-driver-age-groups
#11
COMPARATIVE STUDY
Jesse Michaels, Romain Chaumillon, David Nguyen-Tri, Donald Watanabe, Pierro Hirsch, Francois Bellavance, Guillaume Giraudet, Delphine Bernardin, Jocelyn Faubert
To investigate the links between mental workload, age and risky driving, a cross-sectional study was conducted on a driving simulator using several established and some novel measures of driving ability and scenarios of varying complexity. A sample of 115 drivers was divided into three age and experience groups: young inexperienced (18-21 years old), adult experienced (25-55 years old) and older adult (70-86 years old). Participants were tested on three different scenarios varying in mental workload from low to high...
2017: PloS One
https://www.readbyqxmd.com/read/28980104/experiences-of-a-high-risk-population-with-prenatal-hemoglobinopathy-carrier-screening-in-a-primary-care-setting-a-qualitative-study
#12
Kim C A Holtkamp, Phillis Lakeman, Hind Hader, Suze M J P Jans, Maria Hoenderdos, Henna A M Playfair, Martina C Cornel, Marjolein Peters, Lidewij Henneman
Carrier screening for hemoglobinopathies (HbPs; sickle cell disease and thalassemia) aims to facilitate autonomous reproductive decision-making. In the absence of a Dutch national HbP carrier screening program, some primary care midwives offer screening on an ad hoc basis. This qualitative descriptive study explores how pregnant women perceive an offer of HbP carrier screening by their midwife. Semi-structured interviews (n = 26) were conducted with pregnant women at risk of being a HbP carrier, and whom were offered screening at their booking appointment in one of two midwifery practices in Amsterdam...
October 5, 2017: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/28973222/health-literacy-of-commercial-industry-managers-an-exploratory-qualitative-study-in-germany
#13
Silja Fiedler, Timo-Kolja Pförtner, Anika Nitzsche, Lorna McKee, Holger Pfaff
Managers have been neglected in health literacy research. There still is little known about the health-literacy status and needs of commercial industry managers. This article reduces the existing knowledge gap by presenting findings of an exploratory qualitative study. We conducted 23 separate semi-structured interviews of managers from all management levels (low, middle and top) and experts in the field of health management and/or personnel management. The qualitative interviews were analysed according to Mayring's content analytic approach using MAXQDA...
September 5, 2017: Health Promotion International
https://www.readbyqxmd.com/read/28972598/evaluation-of-occupational-physical-load-during-6-month-international-crisis-management-operation
#14
Kai Pihlainen, Matti Santtila, Tommi Vasankari, Keijo Häkkinen, Heikki Kyröläinen
OBJECTIVES: Generally, operational military duties are associated with a variety of stressors, such as prolonged physical activity (PA). However, limited information is available on the occupational workload or changes in PA during international military operations. Thus, the aim of the study was to investigate the changes in body composition, stress biomarkers, PA, and heart rate (HR) responses of 79 male soldiers during a 6-month international crisis management operation. MATERIAL AND METHODS: Measurements were conducted 3 times in South-Lebanon during the operation...
October 2, 2017: International Journal of Occupational Medicine and Environmental Health
https://www.readbyqxmd.com/read/28969627/information-needs-for-the-rapid-response-team-electronic-clinical-tool
#15
Amelia Barwise, Sean Caples, Jeffrey Jensen, Brian Pickering, Vitaly Herasevich
BACKGROUND: Information overload in healthcare is dangerous. It can lead to critical errors and delays. During Rapid Response Team (RRT) activations providers must make decisions quickly to rescue patients from physiological deterioration. In order to understand the clinical data required and how best to present that information in electronic systems we aimed to better assess the data needs of providers on the RRT when they respond to an event. METHODS: A web based survey to evaluate clinical data requirements was created and distributed to all RRT providers at our institution...
October 2, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28947415/prescribing-of-electronic-activity-monitors-in-cardiometabolic-diseases-qualitative-interview-based-study
#16
Alice Bellicha, Sandrine Macé, Jean-Michel Oppert
BACKGROUND: The prevalence of noncommunicable diseases, including those such as type 2 diabetes, obesity, dyslipidemia, and hypertension, so-called cardiometabolic diseases, is high and is increasing worldwide. Strong evidence supports the role of physical activity in management of these diseases. There is general consensus that mHealth technology, including electronic activity monitors, can potentially increase physical activity in patients, but their use in clinical settings remains limited...
September 23, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28947322/influence-of-diurnal-variation-and-fasting-on-serum-iron-concentrations-in-a-community-based-population
#17
Leonard T Nguyen, Joshua D Buse, Leland Baskin, S M Hossein Sadrzadeh, Christopher Naugler
OBJECTIVES: Serum iron is an important clinical test to help identify cases of iron deficiency or overload. Fluctuations caused by diurnal variation and diet are thought to influence test results, which may affect clinical patient management. We examined the impact of these preanalytical factors on iron concentrations in a large community-based cohort. DESIGN AND METHODS: Serum iron concentration, blood collection time, fasting duration, patient age and sex were obtained for community-based clinical testing from the Laboratory Information Service at Calgary Laboratory Services for the period of January 2011 to December 2015...
September 23, 2017: Clinical Biochemistry
https://www.readbyqxmd.com/read/28944301/intravenous-rehydration-of-malnourished-children-with-acute-gastroenteritis-and-severe-dehydration-a-systematic-review
#18
Kirsty A Houston, Jack G Gibb, Kathryn Maitland
Background: Rehydration strategies in children with severe acute malnutrition (SAM) and severe dehydration are extremely cautious. The World Health Organization (WHO) SAM guidelines advise strongly against intravenous fluids unless the child is shocked or severely dehydrated and unable to tolerate oral fluids. Otherwise, guidelines recommend oral or nasogastric rehydration using low sodium oral rehydration solutions. There is limited evidence to support these recommendations. Methods: We conducted a systematic review of randomised controlled trials (RCTs) and observational studies on 15 (th) June 2017 comparing different strategies of rehydration therapy in children with acute gastroenteritis and severe dehydration, specifically relating to intravenous rehydration, using standard search terms...
2017: Wellcome Open Research
https://www.readbyqxmd.com/read/28942205/the-unintended-consequences-of-community-verifications-for-performance-based-financing-in-burkina-faso
#19
Anne-Marie Turcotte-Tremblay, Idriss Ali Gali-Gali, Manuela De Allegri, Valéry Ridde
Performance-based financing (PBF) is being widely implemented to improve healthcare services in Africa. An essential component of PBF involves conducting community verifications, wherein investigators from local associations attempt to trace samples of patients. Community surveys are administered to patients to verify whether healthcare workers reported fictitious services to increase their revenue. At the same time, client satisfaction surveys are administered to assess whether patients are satisfied with the services received...
September 8, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28929242/impaired-working-memory-updating-affects-memory-for-emotional-and-non-emotional-materials-the-same-way-evidence-from-post-traumatic-stress-disorder-ptsd
#20
Vahid Nejati, Mohammad Ali Salehinejad, Azam Sabayee
Due to the limited capacity of working memory (WM), efficient suppression of no longer relevant memory contents (inhibition) and revising the current contents of the memory (updating) are crucial factors in memorizing. However, not every individual is able to do so; among them are post-traumatic stress disorder (PTSD) patients who seem to have trouble forgetting trauma-related materials, making their memory overloaded with irrelevant information. The present study assumes that the inability to forget in PTSD patients is due to the impaired updating function of WM and, therefore, suggests that these individuals have inferior WM function for both emotional and unemotional materials...
September 19, 2017: Cognitive Processing
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